Recurring concern

Inadequate control of pedestrian crossing risks

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First reported 5 Aug 2013•Latest report 8 Jun 2026

Definition

What this concern includes

Includes crossing provision, siting, visibility, signals, markings, refuge, warnings and speed controls when the source ties them directly to pedestrian crossing safety.

Not included

  • General pedestrian-and-vehicle separation away from a crossing
  • Road hazards that do not concern pedestrian crossing safety
Reports
71

Distinct published reports

Individual concerns
113

A report can raise multiple concerns

Date range
2013–2026

First to latest report issue date

Stated actions
136

Described in published responses

Reports over time

Reports over time

Reports about this concern issued each year.

* 2026 is projected from reports observed to 7 Sep 2026.

Most frequent recipients

Most frequent recipients

Reports about this concern sent to each recipient.

National Highways11
Department for Transport6
Transport for London6
Network Rail5
Staffordshire County Council5
Birmingham City Council3
Recipient name withheld3
Bournemouth, Christchurch and Poole Council2
Durham County Council2
Hampshire County Council2
Leeds City Council2
Nottinghamshire County Council2
Office of Rail and Road2
Sandwell Borough Council2
Surrey County Council2

Concerns and responses across reports

Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.

  1. Black Country

    AI-generated summary

    Sarah Athermith · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    On 26 September 2017, Sarah Athermith was struck and fatally injured by a train while crossing the unprotected Wallows Lane railway crossing after stopping for another train. Concerns included the lack of a warning system for approaching trains, the risk of pedestrians becoming confused when trains pass in opposite directions, and the obstruction of drivers’ views by double-height freight carriages.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Pedestrian confusion about the presence of a further train on the opposite track

    Wider context from the report

    “3. There is a clear and present danger that pedestrians can become confused, as happened in this case when two trains pass each other at the same time and do not realise there is a further train on the opposite rail track. ”

    Source location

    Sarah Athermith · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Progress the statutory process for permanent closure of Wallows Lane level crossing with Walsall Local Authority.

    Verbatim wording from the response

    “We confirm that Network Rail's preferred option is permanent closure of Wallows Lane level crossing. The crossing was closed to members of the public on 26 September 2017 via temporary order granted by Walsall Local Authority and remains closed today.”

    Source location

    2017-0350-Response-by-Network-Rail
    Page 1 · response
    Published 11 February 2018

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Maintain user safety instructions through stop, look and listen signage at Wallows Lane level crossing.

    Verbatim wording from the response

    “In accordance with the risk assessment of the crossing, the protection measures at Wallows Lane level crossing rely on users actively stopping, looking and listening for approaching trains before deciding if it is safe to cross. These instructions are provided to crossing users via signs installed at the crossing.”

    Source location

    2017-0350-Response-by-Network-Rail
    Page 2 · response
    Published 11 February 2018

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Use whistle boards requiring train drivers to sound horns to warn crossing users of approaching trains.

    Verbatim wording from the response

    “Further protection has been installed at Wallows Lane level crossing in the form of whistle boards. Train drivers are required to sound their horn at the whistle boards to warn users of an approaching train. The sound of the horn is intended to be a further warning to any user who is actively assessing whether it is safe to cross.”

    Source location

    2017-0350-Response-by-Network-Rail
    Page 2 · response
    Published 11 February 2018

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Urgently review revised Network Rail closure applications and supporting evidence, while continuing to provide guidance and support through the closure process.

    Verbatim wording from the response

    “25. As in the past, WMBC are undertaking an urgent review of the NR’s revised closure application and will continue to provide assistance and guidance to NR in the closure application process.”

    Source location

    2017-0350-Response-by-Walsall-Council
    Page 6 · response
    Published 11 February 2018

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    No known product can show passive-crossing users which line an approaching train is travelling on.

    Verbatim wording from the response

    “Trains (passenger and freight) pass frequently at Wallows Lane, as they do at many level crossings. There is currently no known product that may be installed at passive level crossings to show users which line an approaching train is travelling on.”

    Source location

    2017-0350-Response-by-Network-Rail
    Page 2 · response
    Published 11 February 2018

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Network Rail must make the level-crossing closure application; the Council’s role is to advise and consider it as highway authority.

    Verbatim wording from the response

    “5. The closure application needs to be made by Network Rail (“NR”) and will then be advised upon and considered WMBC as the Highway Authority.”

    Source location

    2017-0350-Response-by-Walsall-Council
    Page 2 · response
    Published 11 February 2018

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The Council cannot convert the crossing into a controlled crossing because it is neither the landowner nor the operator and lacks legal authority.

    Verbatim wording from the response

    “29. As WMBC is not the landowner or the operator on which the Wallows Lane Railway Crossing is located, it has no authority or legal power to convert the Wallows Lane Railway Crossing into a controlled crossing using suitable methods.”

    Source location

    2017-0350-Response-by-Walsall-Council
    Page 6 · response
    Published 11 February 2018

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    If technological safety improvements are required, Network Rail must consider converting the crossing into a controlled crossing as landowner and operator.

    Verbatim wording from the response

    “30. If NR determines (whether as a result of the Coroner’s Regulation 28 Report or for any other reason) that a technological safety improvement is required, NR as the landowner and operator will have to consider converting the Wallows Lane Railway Crossing into a controlled crossing using suitable methods.”

    Source location

    2017-0350-Response-by-Walsall-Council
    Page 7 · response
    Published 11 February 2018

    Open published response
  2. Inner North London

    AI-generated summary

    Sonia Elvira Stante · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Sonia Elvira Stante was struck by a double-decker bus after stepping into the road in London on 10 July 2017, and died from her injuries on 21 July 2017. A review identified concerns about unclear pedestrian crossing arrangements, independently phased signals, missing louvre signage, and possible confusion for foreign visitors.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Confusing pedestrian crossing arrangement caused by two separate junctions

    Wider context from the report

    “Following the incident ████████ Traffic Management Officer undertook a review of the road traffic layout at the scene. He met with TfL on site on 16 August 2017 and a number of findings were made: (1) No road markings indicating the direction pedestrians should look when crossing (2) Two separate junctions at that location make that crossing confusing for pedestrians (3) The phasing of the green man operates for each carriageway independently so causing confusion for pedestrians who may look at the wrong phasing (4) Missing louvre on the green man on the north side of the crossing making the green man more visible to pedestrians crossing from the south (5) With the location being close to the Eurostar Terminal there are several hotels nearby and foreign visitors may not have a full understanding if the junction. ”

    Source location

    Sonia Elvira Stante · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of road markings indicating the direction pedestrians should look when crossing

    Wider context from the report

    “Following the incident ████████ Traffic Management Officer undertook a review of the road traffic layout at the scene. He met with TfL on site on 16 August 2017 and a number of findings were made: (1) No road markings indicating the direction pedestrians should look when crossing (2) Two separate junctions at that location make that crossing confusing for pedestrians (3) The phasing of the green man operates for each carriageway independently so causing confusion for pedestrians who may look at the wrong phasing (4) Missing louvre on the green man on the north side of the crossing making the green man more visible to pedestrians crossing from the south (5) With the location being close to the Eurostar Terminal there are several hotels nearby and foreign visitors may not have a full understanding if the junction. ”

    Source location

    Sonia Elvira Stante · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Green-man phasing failing to provide clear pedestrian crossing signals across each carriageway

    Wider context from the report

    “Following the incident ████████ Traffic Management Officer undertook a review of the road traffic layout at the scene. He met with TfL on site on 16 August 2017 and a number of findings were made: (1) No road markings indicating the direction pedestrians should look when crossing (2) Two separate junctions at that location make that crossing confusing for pedestrians (3) The phasing of the green man operates for each carriageway independently so causing confusion for pedestrians who may look at the wrong phasing (4) Missing louvre on the green man on the north side of the crossing making the green man more visible to pedestrians crossing from the south (5) With the location being close to the Eurostar Terminal there are several hotels nearby and foreign visitors may not have a full understanding if the junction. ”

    Source location

    Sonia Elvira Stante · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Missing louvre on the north-side green-man signal

    Wider context from the report

    “Following the incident ████████ Traffic Management Officer undertook a review of the road traffic layout at the scene. He met with TfL on site on 16 August 2017 and a number of findings were made: (1) No road markings indicating the direction pedestrians should look when crossing (2) Two separate junctions at that location make that crossing confusing for pedestrians (3) The phasing of the green man operates for each carriageway independently so causing confusion for pedestrians who may look at the wrong phasing (4) Missing louvre on the green man on the north side of the crossing making the green man more visible to pedestrians crossing from the south (5) With the location being close to the Eurostar Terminal there are several hotels nearby and foreign visitors may not have a full understanding if the junction. ”

    Source location

    Sonia Elvira Stante · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Inspect the crossings and review their layout to identify changes that could further assist pedestrians.

    Verbatim wording from the response

    “We inspected the crossings again on 11 September 2017 to review the layout and consider whether any changes could be made to assist pedestrians further. Subsequent to this visit, additional louvres were fitted on 13 October 2017 to two further green figure light aspects on the Pentonville Road crossing, including on the north side of the crossing (see Figure 2), to reduce the likelihood of pedestrians crossing when they were not invited to do so.”

    Source location

    2017-0428-Response-by-Transport-for-London
    Page 2 · response
    Published 27 February 2018

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Install ‘Look left, Look right’ road markings at each pedestrian crossing at the junction.

    Verbatim wording from the response

    “Road markings (‘matters of concern’ point 1) The provision of ‘Look left, Look right’ markings is assessed by TfL on a site-by-site basis, in line with the national guidance. Following your report, these have been installed at each of the pedestrian crossings at this junction.”

    Source location

    2017-0428-Response-by-Transport-for-London
    Page 2 · response
    Published 27 February 2018

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Fit additional louvres to two further pedestrian-signal aspects on the Pentonville Road crossing.

    Verbatim wording from the response

    “We inspected the crossings again on 11 September 2017 to review the layout and consider whether any changes could be made to assist pedestrians further. Subsequent to this visit, additional louvres were fitted on 13 October 2017 to two further green figure light aspects on the Pentonville Road crossing, including on the north side of the crossing (see Figure 2), to reduce the likelihood of pedestrians crossing when they were not invited to do so.”

    Source location

    2017-0428-Response-by-Transport-for-London
    Page 2 · response
    Published 27 February 2018

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The staggered crossing arrangement is a common, efficient junction design that reduces pedestrian waiting and delays to other road users.

    Verbatim wording from the response

    “Junction design and layout (‘matters of concern’ points 2 and 3) The junction of Pentonville Road and King’s Cross Road operates as a single junction with two separately signalled pedestrian crossings. The crossing of King’s Cross Road is known as a ‘straight across’ crossing and the crossing on Pentonville Road as a ‘staggered’ crossing. This is a common arrangement and used throughout London. At a staggered crossing, a pedestrian must cross the road in two stages as each green figure light aspect will display independently of the other. Each green figure light aspect is sufficiently far apart to discourage pedestrians from looking at the other. This arrangement allows the junction to operate in the most efficient manner overall, reducing the time that pedestrians must wait before they are able to cross the road as well as delays to other road users.”

    Source location

    2017-0428-Response-by-Transport-for-London
    Page 1 · response
    Published 27 February 2018

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The pedestrian signals were functioning normally at the time of the collision, including the existing louvres intended to prevent confusion between crossings.

    Verbatim wording from the response

    “Green figure ‘louvres’ on pedestrian signals (‘matters of concern’ point 4) At the time of the collision, pedestrian signals at both crossings were functioning normally. This included louvres (a slatted cover designed to prevent confusion between the green figure light aspects of the separate crossings) on two of the green figure light aspects at the pedestrian crossings. These louvres were in place at the time of the site visit with the Metropolitan Police on 16 August 2017.”

    Source location

    2017-0428-Response-by-Transport-for-London
    Page 2 · response
    Published 27 February 2018

    Open published response
  3. Staffordshire South

    AI-generated summary

    Frederick George DUDLEY · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Frederick George Dudley, aged 90, was struck by a vehicle while crossing the A449 dual carriageway at an uncontrolled pedestrian crossing point after alighting from a bus. The vehicle was travelling above the speed limit, failed to stop, and the driver's view may have been obstructed by other vehicles. Concerns included the crossing's location on a bend, obstructions to visibility, high speed limit, and proximity to several facilities and road users, including an elderly care home and a bus layby.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Obstructed visibility at the pedestrian crossing

    Wider context from the report

    “(1)The deceased had alighted from a bus and was crossing the very busy A449 dual carriageway at an uncontrolled pedestrian crossing point. The crossing is : 1. On a bend 2. Obscured by a brick wall in the centre of the carriageway. 3. The speed limit changes from 40 mph to 60 mph 260m prior to the crossing. 4. Uncontrolled. 5. Adjacent or very near to a public house, an elderly care home, a housing estate, a bus layby and a road junction. In this case the view of the pedestrian was obscured by vehicles travelling in the nearside lane. The deceased was elderly, another young female passenger had also alighted from the bus and crossed the road at the same point. She needed to hurry to avoid the approaching vehicles. The inquest was given to understand from police that there had been other incidents ( not necessarily fatal) at this location. ”

    Source location

    Frederick George DUDLEY · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Speed limit increase before the pedestrian crossing

    Wider context from the report

    “(1)The deceased had alighted from a bus and was crossing the very busy A449 dual carriageway at an uncontrolled pedestrian crossing point. The crossing is : 1. On a bend 2. Obscured by a brick wall in the centre of the carriageway. 3. The speed limit changes from 40 mph to 60 mph 260m prior to the crossing. 4. Uncontrolled. 5. Adjacent or very near to a public house, an elderly care home, a housing estate, a bus layby and a road junction. In this case the view of the pedestrian was obscured by vehicles travelling in the nearside lane. The deceased was elderly, another young female passenger had also alighted from the bus and crossed the road at the same point. She needed to hurry to avoid the approaching vehicles. The inquest was given to understand from police that there had been other incidents ( not necessarily fatal) at this location. ”

    Source location

    Frederick George DUDLEY · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Uncontrolled pedestrian crossing on a busy dual carriageway

    Wider context from the report

    “(1)The deceased had alighted from a bus and was crossing the very busy A449 dual carriageway at an uncontrolled pedestrian crossing point. The crossing is : 1. On a bend 2. Obscured by a brick wall in the centre of the carriageway. 3. The speed limit changes from 40 mph to 60 mph 260m prior to the crossing. 4. Uncontrolled. 5. Adjacent or very near to a public house, an elderly care home, a housing estate, a bus layby and a road junction. In this case the view of the pedestrian was obscured by vehicles travelling in the nearside lane. The deceased was elderly, another young female passenger had also alighted from the bus and crossed the road at the same point. She needed to hurry to avoid the approaching vehicles. The inquest was given to understand from police that there had been other incidents ( not necessarily fatal) at this location. ”

    Source location

    Frederick George DUDLEY · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
  4. Wiltshire and Swindon

    AI-generated summary

    Nina MAGGS · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Nina MAGGS died at the scene from multiple traumatic injuries after being struck by an Iveco road sweeper while attempting to cross Hyde Road at a junction in Swindon on 23 February 2017. The report raises concerns about the safety of pedestrians at the junction, including inadequate pedestrian signals and insufficient time to cross safely, particularly for people with physical, visual or hearing impairments.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of safe visibility and crossing conditions for pedestrians at the junction

    Wider context from the report

    “The general safety of pedestrians crossing this junction with Ermin Street, Kingsdown Road and Beechcroft Road in Swindon. During the course of the Inquest I was satisfied that the reason Nina was not using the designated location pedestrian crossing across Hyde Road was due to the fact that in crossing the road she would not have had a clear view of approaching vehicles up Beechcroft Road which could be turning left into Hyde Road. It concerns me that whilst modifications had been carried out to the road to allow pedestrians to cross the road including those for example using disability scooters having regard to the lowering of the pavements they do so at significant risk of harm and even death. Whilst the junction is controlled by traffic lights there is no assistance given to pedestrians, such as a “green man”, an active sound indicating that it is safe to cross or vibrating module at the side of the road that can be sensed by somebody with a visual and hearing impairment. In fact I heard evidence during the course of the hearing that whilst there was a period of time when all the lights at the junction were red this lasted a matter of 4 seconds which is totally insufficient in my view in giving a pedestrian and in particular one that may have a physical impairment time to safely cross any of the roads at the junction. My concern is so high here that I would ask you to treat this as a priority in considering what action if any is to be taken as I believe this is a regularly used junction by pedestrians and their safety is my utmost concern in submitting this Regulation 28 Report. ”

    Source location

    Nina MAGGS · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Insufficient all-red crossing time for pedestrians

    Wider context from the report

    “The general safety of pedestrians crossing this junction with Ermin Street, Kingsdown Road and Beechcroft Road in Swindon. During the course of the Inquest I was satisfied that the reason Nina was not using the designated location pedestrian crossing across Hyde Road was due to the fact that in crossing the road she would not have had a clear view of approaching vehicles up Beechcroft Road which could be turning left into Hyde Road. It concerns me that whilst modifications had been carried out to the road to allow pedestrians to cross the road including those for example using disability scooters having regard to the lowering of the pavements they do so at significant risk of harm and even death. Whilst the junction is controlled by traffic lights there is no assistance given to pedestrians, such as a “green man”, an active sound indicating that it is safe to cross or vibrating module at the side of the road that can be sensed by somebody with a visual and hearing impairment. In fact I heard evidence during the course of the hearing that whilst there was a period of time when all the lights at the junction were red this lasted a matter of 4 seconds which is totally insufficient in my view in giving a pedestrian and in particular one that may have a physical impairment time to safely cross any of the roads at the junction. My concern is so high here that I would ask you to treat this as a priority in considering what action if any is to be taken as I believe this is a regularly used junction by pedestrians and their safety is my utmost concern in submitting this Regulation 28 Report. ”

    Source location

    Nina MAGGS · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of accessible pedestrian crossing signals

    Wider context from the report

    “The general safety of pedestrians crossing this junction with Ermin Street, Kingsdown Road and Beechcroft Road in Swindon. During the course of the Inquest I was satisfied that the reason Nina was not using the designated location pedestrian crossing across Hyde Road was due to the fact that in crossing the road she would not have had a clear view of approaching vehicles up Beechcroft Road which could be turning left into Hyde Road. It concerns me that whilst modifications had been carried out to the road to allow pedestrians to cross the road including those for example using disability scooters having regard to the lowering of the pavements they do so at significant risk of harm and even death. Whilst the junction is controlled by traffic lights there is no assistance given to pedestrians, such as a “green man”, an active sound indicating that it is safe to cross or vibrating module at the side of the road that can be sensed by somebody with a visual and hearing impairment. In fact I heard evidence during the course of the hearing that whilst there was a period of time when all the lights at the junction were red this lasted a matter of 4 seconds which is totally insufficient in my view in giving a pedestrian and in particular one that may have a physical impairment time to safely cross any of the roads at the junction. My concern is so high here that I would ask you to treat this as a priority in considering what action if any is to be taken as I believe this is a regularly used junction by pedestrians and their safety is my utmost concern in submitting this Regulation 28 Report. ”

    Source location

    Nina MAGGS · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Analyze signal operation and traffic levels, assess alternatives, and develop preliminary technology and civil-engineering designs for pedestrian signal phases.

    Verbatim wording from the response

    “Following the fatal accident an analysis of the current operation of the traffic signals at Kingsdown Crossroads was carried out, including an analysis of the current traffic levels. A scheme to”

    Source location

    2017-0216-Response-by-Swindon-Borough-Council_Redacted
    Page 1 · response
    Published 25 September 2017

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Prepare and obtain approval for a briefing recommending further investigation and stakeholder and public consultation on the proposed pedestrian signal scheme.

    Verbatim wording from the response

    “Since receipt of the Regulation 28 notice, further work has included the preparation and sign off of a briefing note for the Council’s Cabinet Member for Communities and Place and sign off by myself as Head of Highways and Transport. This has recommended and approved a proposal to take the proposed scheme forward to further investigation and consultation with stakeholders and the public.”

    Source location

    2017-0216-Response-by-Swindon-Borough-Council_Redacted
    Page 3 · response
    Published 25 September 2017

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Conduct stakeholder and public consultation on the pedestrian signal proposals and analyze feedback to inform subsequent decisions.

    Verbatim wording from the response

    “The next stage is therefore for the Council to undertake stakeholder consultation with regard to the proposals and the balance between those aspects of safety and impact noted above.”

    Source location

    2017-0216-Response-by-Swindon-Borough-Council_Redacted
    Page 3 · response
    Published 25 September 2017

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The junction’s constrained sight lines and pavement space make alternative pedestrian safety options undeliverable or less beneficial than the proposed approach.

    Verbatim wording from the response

    “A range of alternative options have been considered for the junction. These have included a do nothing option, zebra crossings, different pedestrian phasing arrangements and the potential to significantly widen or expand the junction itself. The junction is however very constrained in relation to sight lines and pavement space and each of these options have been ruled out on either benefit or deliverability grounds when compared to the current proposed way forward”

    Source location

    2017-0216-Response-by-Swindon-Borough-Council_Redacted
    Page 2 · response
    Published 25 September 2017

    Open published response
  5. Hampshire (North East)

    AI-generated summary

    Derek Edward Hope THOMAS · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Derek Edward Hope THOMAS was struck by a non-stopping train while using the foot crossing at Bentley station on his mobility scooter on 5 October 2016, sustaining catastrophic injuries. Concerns included that the crossing was unmanned and unprotected, that the only direct warning was the train driver's horn, and that visibility was obscured by a fence.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Obscured visibility at the crossing caused by a fence

    Wider context from the report

    “(3) Visibility is obscured by a fence although remedial action has been taken to reduce the height of it thereby improving visibility ”

    Source location

    Derek Edward Hope THOMAS · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report
  6. Birmingham and Solihull

    AI-generated summary

    Exauce Mbiyi Paoulen · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Exauce Mbiyi Paoulen died at Birmingham Children’s Hospital on 29 June 2016 from injuries sustained when he was struck by a vehicle while crossing Grove Lane, Handsworth. The report raised concerns that vehicle speeds and a frequently occupied parking bay obscured drivers’ views of pedestrians, particularly children, and that there was no pedestrian crossing near the park gates.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to maintain driver visibility of pedestrians approaching the road edge

    Wider context from the report

    “In the area of Grove Lane bordering Handsworth Park children and adults often cross the road to access the park gates. The road has a speed limit of 30mph and there is not a pedestrian crossing near the park gates. Opposite Handsworth Park there is a parking bay on the west side of Grove Lane that is frequently parked up and obscures the view for drivers proceeding along Grove Lane of pedestrians, particularly children, approaching the edge of the road. There have been several other serious accidents involving pedestrians crossing the road in the vicinity in the past 2 years. This evidence suggests that the speed along this section of road in conjunction with the parking bay creates a risk to pedestrians crossing the road. ”

    Source location

    Exauce Mbiyi Paoulen · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of a pedestrian crossing near the park gates

    Wider context from the report

    “In the area of Grove Lane bordering Handsworth Park children and adults often cross the road to access the park gates. The road has a speed limit of 30mph and there is not a pedestrian crossing near the park gates. Opposite Handsworth Park there is a parking bay on the west side of Grove Lane that is frequently parked up and obscures the view for drivers proceeding along Grove Lane of pedestrians, particularly children, approaching the edge of the road. There have been several other serious accidents involving pedestrians crossing the road in the vicinity in the past 2 years. This evidence suggests that the speed along this section of road in conjunction with the parking bay creates a risk to pedestrians crossing the road. ”

    Source location

    Exauce Mbiyi Paoulen · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Develop and consult on a local road safety scheme for Grove Lane, incorporating the report’s suggestions and stakeholder views.

    Verbatim wording from the response

    “Prior to receiving your report Grove Lane had been identified for assessment through this monitoring system and initial investigations are being undertaken to develop a local safety scheme at this location. The scope of these investigations will incorporate the suggestions contained in your report. A scheme proposal will be developed in consultation with the local residents, Ward Councillors and West Midlands Police. Following consultation, formal approval will be sought to secure funding to implement the scheme in line with the City's Governance procedures. It is my intention to implement a scheme in the financial year 2017/18 but would hope that if consultation goes well this could be as early as June /July 2017.”

    Source location

    2016-0452-Response-by-Birmingham-City-Council
    Page 1 · response
    Published 12 February 2017

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Implement the Grove Lane road safety scheme, programmed for the 2017/18 financial year.

    Verbatim wording from the response

    “Prior to receiving your report Grove Lane had been identified for assessment through this monitoring system and initial investigations are being undertaken to develop a local safety scheme at this location. The scope of these investigations will incorporate the suggestions contained in your report. A scheme proposal will be developed in consultation with the local residents, Ward Councillors and West Midlands Police. Following consultation, formal approval will be sought to secure funding to implement the scheme in line with the City's Governance procedures. It is my intention to implement a scheme in the financial year 2017/18 but would hope that if consultation goes well this could be as early as June /July 2017.”

    Source location

    2016-0452-Response-by-Birmingham-City-Council
    Page 1 · response
    Published 12 February 2017

    Open published response
  7. Inner South London

    AI-generated summary

    Amanda Coppen · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Amanda Coppen suffered fatal injuries when she was struck by a bus while crossing Pilot Busway on 4 January 2016. The inquest evidence indicated that she was crossing on a signal-controlled pedestrian crossing when the signal was red to pedestrians and green to traffic. Concerns included the unusual road layout potentially misleading pedestrians and motorists, and a possible increased risk to schoolchildren following the construction of a nearby school.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Road layout misleading pedestrians and motorists about traffic direction

    Wider context from the report

    “The evidence at the inquest was that Ms Coppen was crossing the busway on a signal controlled pedestrian crossing while the signal was red to pedestrians and green to traffic. However, the evidence also suggested that the layout of Pilot Busway and the neighbouring road (West Parkside) is unusual: they run side by side; West Parkside consists of a single carriageway in each direction; Pilot Busway consists of a single dedicated bus lane in each direction. The evidence was that this layout could mislead road users (pedestrians and motorists) into believing that this is a standard dual carriageway. Ordinary traffic has been seen in the dedicated busway, and pedestrians could be misled into looking the wrong way when crossing the road. ”

    Source location

    Amanda Coppen · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Install a raised zebra crossing south of the junction to provide safer pedestrian routes between Millennium Village, the existing school, Pilot Busway and West Parkside.

    Verbatim wording from the response

    “As stated in your report, following the fatality a site visit was held on 14 January 2016 and was attended by representatives of all three organisations and the Metropolitan Police. Since then, a number of actions have been undertaken to improve road safety at the junction and in the vicinity.”

    Source location

    2016-0299-Response-by-Transport-for-London
    Page 1 · response
    Published 19 August 2016

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Improve junction signage and road markings to increase pedestrian awareness of oncoming traffic.

    Verbatim wording from the response

    “As stated in your report, following the fatality a site visit was held on 14 January 2016 and was attended by representatives of all three organisations and the Metropolitan Police. Since then, a number of actions have been undertaken to improve road safety at the junction and in the vicinity.”

    Source location

    2016-0299-Response-by-Transport-for-London
    Page 1 · response
    Published 19 August 2016

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Complete feasibility work identifying conversion of the existing layout to a dual carriageway with bus lanes to address road-safety concerns.

    Verbatim wording from the response

    “TfL and Greenwich have been working on developing a solution to address road safety concerns, arising from the unique nature of the road layout. We recognise that significant development is taking place in the area, including the construction of a new school, and that additional movements associated with those developments will increase concerns about road safety.”

    Source location

    2016-0299-Response-by-Transport-for-London
    Page 2 · response
    Published 19 August 2016

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Implement the proposed dual-carriageway and bus-lane changes to the road layout at the earliest opportunity, subject to considering consultation responses.

    Verbatim wording from the response

    “It is the practice of both TfL and Greenwich to undertake local public consultation on significant changes to their road networks. Consistent with those practices, a joint public consultation exercise is underway to seek public and stakeholder opinion on the conversion of the existing arrangement to a dual carriageway with bus lane provision.”

    Source location

    2016-0299-Response-by-Transport-for-London
    Page 2 · response
    Published 19 August 2016

    Open published response
  8. Portsmouth and South East Hampshire

    AI-generated summary

    Yogalakshmi Sinnaiah · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Yogalakshmi Sinnaiah, aged 58, was struck by a lorry while crossing Dragon Street in Petersfield on 26 January 2016 and sustained instantly fatal multiple injuries. The report raised concern that the lorry’s nearside mirrors left a significant blind spot and that a passenger-side safety lens might have reduced the risk of the collision.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Pedestrians commonly cutting the corner and crossing from the wrong side of the traffic light

    Wider context from the report

    “1. Ms Sinnajah crossed Dragon Street using the pelican crossing and I was told in evidence that she started to cross the road from the "wrong side" of the traffic light at the crossing, "cutting the corner". 2. I was also told in evidence that using the crossing in this manner is a common occurrence and that there have been a number of near misses of pedestrians in consequence. 3. It occurs to me that provision of railings at this crossing either side of the actual crossing would prevent this happening and would thereby reduce the potential for future incidents of the type involving Ms Sinnajah. ”

    Source location

    Yogalakshmi Sinnaiah · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Bring forward replacement of the Pelican crossing with a Puffin crossing by three years.

    Verbatim wording from the response

    “The current pedestrian crossing is a ‘Pelican’ type and, as we are aware you understand from your investigations, these crossings have a high level ‘flashing green figure’ for pedestrians on the opposite side of the crossing which initially operates concurrently with the flashing amber for waiting vehicles. As shown by the Police evidence within the transcript of the inquest Ms Sinnaiah attempted to cross on a flashing green figure when she approached the crossing at the same time that the Mercedes lorry driver had the flashing amber light and no sight of Ms Sinnaiah. Due to significant reservations about the safety of installing pedestrian guard railing at this location and the lack of previous personal injury accidents at the location, the County Council proposes to bring forward the upgrading of the Pelican crossing by 3”

    Source location

    2016-0264-Response-by-Hampshire-County-Council
    Page 2 · response
    Published 25 July 2016

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Raise the tree crown on the northbound approach to improve crossing signal and pedestrian visibility.

    Verbatim wording from the response

    “In addition to these works the crown on the trees on the northbound approach to the crossing will be raised to improve the visibility of the signals, intervisibility between pedestrians and oncoming vehicles and overall conspicuity of the crossing.”

    Source location

    2016-0264-Response-by-Hampshire-County-Council
    Page 3 · response
    Published 25 July 2016

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The proposed guard railing is not supported because no pedestrian injury accidents or complaints are recorded, and barriers may create additional safety risks.

    Verbatim wording from the response

    “Whilst on site we examined our entire database of personal injury accident history at the crossing and found no recorded personal injury accidents involving pedestrians between January 1990 and 30th November 2015. Our Traffic Management, Highway Maintenance and East Hants District Council colleagues confirmed no history of complaints or concerns from members of the public concerning the crossing.”

    Source location

    2016-0264-Response-by-Hampshire-County-Council
    Page 2 · response
    Published 25 July 2016

    Open published response
  9. Essex

    AI-generated summary

    Keith John Charles Harper · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Keith John Charles Harper was struck by a Renault Clio while exiting a footpath crossing the central reservation of the A132 Southmayne and died in hospital on 2 December 2015. Concerns related to limited warning and visibility of the pedestrian crossing for drivers, and obscured carriageway markings caused by resurfacing work and road debris.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of prior warning of the pedestrian crossing for drivers exiting the roundabout

    Wider context from the report

    “[BRIEF SUMMARY OF MATTERS OF CONCERN] (1) A driver exiting the roundabout has no prior warning of the crossing. From the driver's position the aspect view of the pedestrian/cycle path is limited and the central reservation presents itself as a grassed area. A review should be carried out of features of the pedestrian crossing – warning signs/design/position etc etc (2) The carriageway markings exiting the roundabout have been obscured by resurfacing work and road debris. This work needs to be carried out ”

    Source location

    Keith John Charles Harper · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Inadequate visibility and conspicuity of the pedestrian/cycle path and crossing for drivers

    Wider context from the report

    “[BRIEF SUMMARY OF MATTERS OF CONCERN] (1) A driver exiting the roundabout has no prior warning of the crossing. From the driver's position the aspect view of the pedestrian/cycle path is limited and the central reservation presents itself as a grassed area. A review should be carried out of features of the pedestrian crossing – warning signs/design/position etc etc (2) The carriageway markings exiting the roundabout have been obscured by resurfacing work and road debris. This work needs to be carried out ”

    Source location

    Keith John Charles Harper · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The crossing type limits advance-signing options, and collision data does not support installing the proposed warning sign.

    Verbatim wording from the response

    “1. The crossing area from the central reserve to each footway is an uncontrolled crossing facility, therefore this limits the signing options available to give road users advanced warning of pedestrians crossing at this location. The Traffic Signs and general directions regulations allow the use of ‘other danger ahead’ signage which can be coupled with a ‘pedestrians crossing’ sub-plate. The pedestrian collision data at this site does not support the use of this sign (in the past 10 years there has only been one other collision involving a non-motorised user, this collision was a slight injury collision involving a 12 year old boy pedal cyclist).”

    Source location

    2016-0151-Response-by-Essex-County-Council
    Page 1 · response
    Published 21 April 2016

    Open published response
  10. Surrey

    AI-generated summary

    John Watt · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    John Watt, a 91-year-old man, was struck by a car while attempting to cross the A25 Guildford Road at Abinger Hammer on 27 May 2015 and died from his injuries. The inquest heard that there was no safe or controlled means for pedestrians to cross the road in the village, and raised consideration of providing one.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of a safe or controlled pedestrian crossing means for the A25 at Abinger Hammer

    Wider context from the report

    “A Means of Crossing the A25 Guildford Road at Abinger Hammer Evidence at inquest indicated that there is no safe or controlled means for a pedestrian to cross the road in the village. Consideration should be given to providing a safe system of allowing pedestrians to cross the A25 at Abinger Hammer. ”

    Source location

    John Watt · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Request funding and undertake a feasibility study for a safe pedestrian crossing facility at the location.

    Verbatim wording from the response

    “2.3 Commissioning of a feasibility study for a crossing (based on some of the findings described above)”

    Source location

    John-WATT-Response
    Page 6 · response
    Published 31 March 2016

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Inspect the existing vehicle-activated sign east of Felday Road.

    Verbatim wording from the response

    “There is also a solar powered electronic vehicle activated sign that illuminates to drivers to remind them of the 30 mph speed limit and to “SLOW DOWN” if they are travelling too fast on the westbound approach to the pedestrian desire line near the Post Office/Tea Room. It is thought that the operation of the sign may be sporadic depending on the level of sunlight, number of activations and battery longevity. Consequently funding will be sought to undertake an inspection of the sign and to overhaul it if necessary.”

    Source location

    John-WATT-Response
    Page 4 · response
    Published 31 March 2016

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Investigate providing signs warning drivers that pedestrians cross the A25 near the village green.

    Verbatim wording from the response

    “In the short term it is proposed to investigate the provision of signs to warn drivers that pedestrians are crossing the A25 in the vicinity of the village green.”

    Source location

    John-WATT-Response
    Page 4 · response
    Published 31 March 2016

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The fatal collision did not form part of a pattern of similar incidents supporting casualty-reduction justification for crossing facilities.

    Verbatim wording from the response

    “It would appear that the circumstances that led to the fatal accident involving Mr Watt, in the vicinity of the Kingfisher Farm Shop entrance, did not form part of a pattern of similar incidents at the same location. The only other personal casualty took place over 100m to the west and involved an accident, described above, that could have taken place at any location.”

    Source location

    John-WATT-Response
    Page 3 · response
    Published 31 March 2016

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    A formal crossing may be unsuitable because carriageway width, available land, lighting, power, conservation-area and environmental constraints limit feasible options.

    Verbatim wording from the response

    “The proposed feasibility study for improved crossing facilities would consider the extent of the public highway to assess whether there is sufficient width for the provision of suitably sized areas for pedestrians to wait to cross. The availability of an electrical power supply should also be considered (there is no street lighting on this road), as should the position of the bus stops in relation to the crossing point. Kerb build outs, to narrow the carriageway, would not be appropriate at this location given the nature and volume of traffic that uses the A25 through Abinger Hammer. There is insufficient carriageway width to provide a central pedestrian refuge island.”

    Source location

    John-WATT-Response
    Page 4 · response
    Published 31 March 2016

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    County Councillors decide which highway schemes to prioritise and where available resources are allocated.

    Verbatim wording from the response

    “If the feasibility study concludes that there is a justifiable need for some work to take place, and the proposed solution is suitable for the location, then the proposal would be added to the Integrated Transport Schemes (ITS) List of schemes for possible future funding. The Mole Valley Forward Programme of schemes for design and construction is made up from schemes on the ITS List and this programme is presented to the Mole Valley Local Committee each year for decision. The County Councillors are responsible for deciding which schemes to prioritise and where to allocate resources. County Councillors will take into account representations from the public, the advice from the engineers and the availability of funding. It can take over 18 months before any improvement works are implemented, even if a scheme is approved and funding available.”

    Source location

    John-WATT-Response
    Page 7 · response
    Published 31 March 2016

    Open published response
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Data last updated 7 September 2026